CN103230632B - Displacement pump - Google Patents
Displacement pump Download PDFInfo
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- CN103230632B CN103230632B CN201310136984.1A CN201310136984A CN103230632B CN 103230632 B CN103230632 B CN 103230632B CN 201310136984 A CN201310136984 A CN 201310136984A CN 103230632 B CN103230632 B CN 103230632B
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14248—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/145—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
- A61M5/1452—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/172—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body electrical or electronic
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- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04B—POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS
- F04B43/00—Machines, pumps, or pumping installations having flexible working members
- F04B43/12—Machines, pumps, or pumping installations having flexible working members having peristaltic action
- F04B43/1253—Machines, pumps, or pumping installations having flexible working members having peristaltic action by using two or more rollers as squeezing elements, the rollers moving on an arc of a circle during squeezing
- F04B43/1269—Machines, pumps, or pumping installations having flexible working members having peristaltic action by using two or more rollers as squeezing elements, the rollers moving on an arc of a circle during squeezing the rotary axes of the rollers lying in a plane perpendicular to the rotary axis of the driving motor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M5/14248—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type
- A61M2005/14252—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body of the skin patch type with needle insertion means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14244—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body
- A61M2005/14268—Pressure infusion, e.g. using pumps adapted to be carried by the patient, e.g. portable on the body with a reusable and a disposable component
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/0007—Special media to be introduced, removed or treated introduced into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3546—Range
- A61M2205/3569—Range sublocal, e.g. between console and disposable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/35—Communication
- A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
- A61M2205/3592—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using telemetric means, e.g. radio or optical transmission
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/04—Skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/14212—Pumping with an aspiration and an expulsion action
- A61M5/14232—Roller pumps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/145—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
- A61M5/148—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons flexible, e.g. independent bags
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Hematology (AREA)
- Veterinary Medicine (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Dermatology (AREA)
- Mechanical Engineering (AREA)
- General Engineering & Computer Science (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
For to delivering the system of therapeutic fluids in the patient, method and apparatus is disclosed.This equipment includes that issuing unit has drive mechanism, pumping mechanism, the reservoir of receiving therapeutic fluids, discharge port.Drive mechanism is ordered about pumping mechanism and is moved by the therapeutic fluids forward in reservoir, for being delivered in the patient through discharge port by therapeutic fluids.
Description
The application is filing date on May 11st, 2008, Application No. 200880015500.5, sends out
The divisional application of the application for a patent for invention of bright entitled " displacement pump ".
Cross-Reference to Related Applications
This application claims entitled " the A Positive Displacement submitted on May 11st, 2007
Pump " U.S. Provisional Application No.60/928, the priority of 815, the disclosure of this application is on the whole
It is incorporated by reference herein.
The application relate to CO-PENDING/entitled " the Methods And Apparatus For that owns together
Monitoring Rotation Of An Infusion Pump Driving Mechanism " United States Patent (USP) Shen
Please No.XX/XXX, XXX, it requires the U.S. Provisional Application No. submitted on May 11st, 2007
The priority of 60/60/928,751;Further relate to U.S. Patent application No.XX/XXX, XXX, entitled
" Fluid Delivery Device ", it requires the entitled " Fluid submitted on May 11st, 2007
Delivery Device " the priority of U.S. Provisional Application No.60/928,750.The public affairs of above-mentioned each application
Open content to be incorporated by reference herein on the whole.
Technical field
The present invention generally relates to the apparatus and method of continuing medical infusion fluid.Particularly,
The present invention relates to a kind of minitype portable infusion device, it can be connected to patient body and from patient
Health disengages, and can accurately provide fluid.Additionally, the present invention relates to a kind of infusion pump, its
There are two parts: disposable unit and parts can be used again.Disposable unit comprises thin-walled reservoir.
Background technology
The Medical Treatment of some diseases is required by medicine continuous infusion to various body parts, such as
By subcutaneous injection and intravenous injection.For example, diabetics needs that infusion is not in one day
Commensurability insulin is to control its blood glucose level.In recent years, on-fixed point portable insulin is defeated
Note pump has occurred, as the useful replacement of the most repeatedly needle cylinder injection insulin.These pumps, to hold
Continuous reference speed rate and additional drug dose deliver insulin, be developed into by patient from repeatedly from
I frees in administration injection, and allows patient to maintain intimate normal daily routines.Benchmark agent
Amount and boost must deliver with accurate amount according to individual prescription, because the overdosage of insulin
It is all fatal with deficiency.
Some on-fixed point insulin infusion device at present can be commercially available.Most commonly, these
Device has two parts: reusable part, and it comprises sending trap, controller and electronic device, and
Disposable part, it comprises syringe type reservoir, with sleeve pipe and the needle assembly of puncture component and stream
Body delivery tube.Generally, patient is filling insulin in reservoir, and pin and delivery tube are attached to storage
The ports having of device, then inserts pump case by reservoir.By the air in reservoir, pipe and pin
After blowout, patient's select location on health inserts needle assembly, puncture component and sleeve pipe, and withdraws from
Puncture component.In order to avoid stimulating and infecting, subcutaneous sleeve pipe must after 2-3 days with empty reservoir one
Rise and change and discarded.The example of first generation one-shot injector type reservoir and pipe is disclosed in U.S. of Hobbs
State's patent No.3, United States Patent (USP) No.3 of 631,847, Kaminski, U.S. of 771,694, Stempfle
State's patent No.4,657,486, and United States Patent (USP) No.4 of Skakoon, 544,369.These devices
Drive mechanism is screw drive type plunger, controls the sequencing campaign of cylinder piston.
Providing gear is also had to be disclosed United States Patent (USP) No.4,498,843 of Schneider and Wolff
United States Patent (USP) No.4,715,786, including wriggling displacement pump.These devices are to multiple injection every day
Mode be made that improvement, however, they still suffer from some shortcomings.Major defect is device
Large scale and weight, this is to be caused by syringe and the structure of the drive mechanism of piston and relatively large size
's.This relatively cumbersome device needs to be loaded in the pocket of patient or is attached to belt.So,
Fluid delivery is longer, typically longer than 60cm, in order to allow pin to insert at the distant sites of health.This
The uncomfortable heavy device a bit with long tube is abandoned by most of diabetes insulin user, because
The daily action of they interference patients, such as, sleep and swim.Additionally, at the health of ten how old patients
Upper scar is also unacceptable.Additionally, delivery tube makes some optional insertion sites at a distance
As buttocks, arm and leg are left out.
In order to avoid the negative effect of long delivery tube, the new ideas pump of the second filial generation is suggested.This conception of species
Including the device of the be attached at skin of remote control, it includes housing, and the basal surface of housing is adapted to connect
Touch the skin of patient, the reservoir being arranged in housing, and it is adapted to the injection that connects with reservoir
Pin.These devices that can be attached at skin should be abandoned every 2-3 days, is similar to operational pump
Infusion.These devices are at least disclosed United States Patent (USP) No.5 of Sage, and 957,895, Connelly
United States Patent (USP) No.6,589,229, and United States Patent (USP) No.6 of Flaherty, 740,059.Can attach
Other structure in the pump of skin is disclosed in United States Patent (USP) No.6,723,072 and the Mason of Flaherty
United States Patent (USP) No.6,485,461.These devices there is also some limitation: they volumes are big and high
Expensive, the reason of their high price is high manufacturing cost and accessory cost, and user must be every 2-
Within 3 days, abandon whole device, wherein comprise relatively costly parts, such as drive mechanism and other electronics device
Part.
Such as, existing various types of tradition pumping mechanism is used in infusion device.Pumping mechanism
One example is syringe type, and wherein, fluid is removed cylindrical shape reservoir by motor-driven plunger.
The motor that processor controls allows fluid granting and the fluid granting as required of pre-programmed.
Such syringe type mechanism is discussed in the following United States Patent (USP) such as relating to first generation pump:
United States Patent (USP) No.3 of Kamen, United States Patent (USP) No.4 of 858,581, Siposs, 435,173, Fenton
United States Patent (USP) No.4, United States Patent (USP) No.5 of 652,260, Strisathapat, 954,697.Syringe type
Reservoir is also described in the U.S. patents and patent applications relating to second filial generation pump: the U.S. of Flaherty
The U.S. Patent application No.2005/0251097 of patent No.6,656,159 and O'Neill.
Regrettably, the second filial generation can be attached at the infusion device of skin and there is significant drawbacks, including
Following and other shortcoming:
?They are heavy to be typically pipe part for huge-syringe type reservoir, therefore accommodate such as
The medicine of 3ml, they otherwise longer and there is minor diameter (that is, 60mm length × 8mm internal diameter),
Shorter and there is major diameter (that is, 17mm length × 15mm internal diameter).This is all portable pancreases
The major obstacle that island element infusion device runs into when diabetics, can paste especially for the second filial generation
For investing the insulin pump of skin.
?Their manufacture and change expensive-(electronic device drives machine to comprise relatively costly parts
Structure etc.) whole device should abandon for every 3 days.
?Reservoir filling may require using additional syringe to come from the then filling of vial withdrawn fluid
Pump reservoir.
?They can not be removed-there is a case in which, i.e. patient wishes that pulling down pump (such as, exists
When shower, Saunas, sexual life etc.), but, conventional pump does not allow this pulling down.
?Sleeve pipe is rigidly secured in pump case, and therefore, user can not select casing length and change
Become and insert angle.
?Waste insulin-in the case of installation position mistake (such as, scar tissue, bleed,
Sleeve pipe kink etc.), whole device, including the insulin reservoir being filled, it is necessary to be abandoned, this meeting
The insulin causing costliness is wasted.
Summary of the invention
In some embodiments, the present invention is to overcome the defect in above-mentioned conventional apparatus to provide one
Minitype portable fluid dispensing apparatus able to programme (hereinafter referred to as " provides joint " or " issuing unit ", therefore
Term " unit " is the most mixed with " joint "), described device does not have long exterior tube
Part and can any desired site on health be attached to patient (with depart from patient).Real at some
Executing in mode, the present invention is simple and the most expensive granting joint, and it has two parts: disposable
Parts and parts can be used again.After can connecting with parts and disposable unit, whole device has thin again
Profile and relatively small footprint area (that is, light and handy) on a patient body.At some embodiments
In, the present invention relates to a kind of granting joint, it can be with safe and reliable and that user is friendly side
Formula is connected to (or reconnecting to) patient body and departs from patient body.Connect (or again connect
Connect or disengage) both do not interfere with the parts provided in joint, also will not injure surrounding body tissue.
In some embodiments, the present invention relates to a kind of granting joint, it delivers stream through soft tube
Body is in the patient, and the insertion of its middle sleeve both can realize by hand, it is possible to use special inserter
It is automatically obtained.In some embodiments, fluid may utilize soft tube and is delivered, and sleeve pipe can
Insert with any desired angle.Additionally, the length of sleeve pipe can be customized to meet the needs of patient.
In some embodiments, the present invention relates to a kind of granting joint, be used for delivering fluid to patient
Internal, its center tap has two parts: disposable unit, it has some and easily manufactures and assemble
And cheap part, and parts can be used again.In some embodiments, disposable unit includes pin
Cartridge type reservoir, it is configured to jerrycan, to maintain thin contour.In some embodiments,
Syringe type reservoir can be from vial withdrawn fluid.Additionally, disposable unit and can again with parts it
Between sealing after connection do not affect the function of device.
In some embodiments, the present invention relates to a kind of device, it can deliver therapeutic fluids and arrive
In health.The fluid delivery device of the present invention includes 3 unit: issuing unit, can be attached at skin
Pin unit, and RCU.Issuing unit can be connected to the described pin unit that can be attached at skin
Departing from from it, RCU and issuing unit communication are to allow programming, user input, data acquisition
Collection.
In some embodiments, issuing unit includes drive mechanism, pumping mechanism, reservoir and row
Go out port.Discharge port allows issuing unit is connected to pin unit and disengages from it.Discharge port sets
Having connecting element (such as, connect tube chamber), it can puncture self-seal type rubber interval body, described between
Spacer seals discharge port.Connect tube chamber and allow to set up fluid communication between issuing unit and pin unit.
Issuing unit can be configured to single-piece.In some embodiments, issuing unit includes that at least one is store
Storage, pipe, battery, drive mechanism and pumping mechanism, electronic device, and other accessory, example
As, clogging sensor.
In some embodiments, issuing unit can also be configured to two-piece unit, and it has can be again
With parts and disposable unit, wherein:
A. can include drive mechanism and pumping mechanism, electronic device with parts again, and other is relatively costly
Parts such as clogging sensor.
B. disposable unit includes not expensive components, for example, at least one reservoir, manages, and battery,
Described battery can be powered until reservoir empty, is typically used a few days.
In some embodiments, pin unit includes following elements:
A. sleeve pipe and puncture component.Puncture component will be removed after the insertion.
B. saddle-it is flat sheet, has the adhesion layer towards skin, and side is carried thereon
Connecting elements to allow connection to issuing unit and to disengage from it.Insert sleeve pipe time, saddle by
Skin is remained adhered in adhesion layer.Saddle anchoring casing pipe, and allow connection to issuing unit.Saddle
Portion can be rigidly connected to sleeve pipe and be connected to standpipe connection, or can be independent separate part.
C. standpipe connection (well)-it is tubular projections, from saddle upwards projection, right to allow
The discharge port of quasi-issuing unit, and be suitable to be connected to as required between pin and issuing unit, with
Just fluid is correctly delivered to health.
In some embodiments, RCU includes being programmed for fluid flow, controlling to send out
Put unit, data acquisition and the component of instruction (such as, display).
In some embodiments, the issuing unit of the present invention can also be provided with suitable input link,
Such as, for sending the button of flowing instruction.
In some embodiments, issuing unit includes two parts: reusable and disposable.
Described disposable unit includes reservoir, battery, and discharge port;Electronics device can be included again with parts
Part, drive mechanism, and pumping mechanism.Reservoir has the cross section of general flat profile.Such
Cross section can be the most avette, oval or rectangle.Utilize this configuration, whole disposable portion
Part the thinnest (for example, less than 15mm).Reservoir is equipped with moveable piston formula plunger
A part for syringe.The discharge port of reservoir such as connects tube chamber by tubulose connector and is connected to send out
Put the discharge port of unit.The discharge port of reservoir is configured to and is sized to accurately assemble
To standard drug vial stopper.Reservoir filling is to be engaged with the rubbery stopper of bottle by discharge port
And realize.Connect tube chamber and puncture rubbery stopper, thus when bottle is by turned upside down so that
By the rearward movement of plunger, medicine is extracted from bottle.
By the disposable unit being filled with and the connection that parts can be used again, can be again with the electronics in parts
Device battery in being located at disposable unit (it will be understood by those skilled in the art that it can is single-unit
Battery) receive electric energy.Based on programming and/or deliver order based on the fluid that is actually needed, drive machine
Structure is activated and can promote piston.Issuing unit disengages from pin unit and reconnects can
Perform according to the decision-making of patient.
Therefore, a purpose of some embodiments of the present invention is to provide a kind of method, system and dress
Put, in medical science infusion fluid to health.
One purpose of some embodiments of the present invention is to provide a kind of for lasting medical science infusion
Device, it is with controlled speed injecting fluid into the human body.
One purpose of some embodiments of the present invention is to provide a kind of device for medical science infusion,
It comprises issuing unit, this issuing unit slim body, does not has outer tube, and can be attached to body
Any position of body.
One purpose of some embodiments of the present invention is to provide a kind of device for medical science infusion,
It comprises issuing unit, and this issuing unit includes at least one reservoir and discharge port, this outlet side
The in direct fluid communication that mouth can reach and can be attached between the pin unit of skin.
One purpose of some embodiments of the present invention is to provide a kind of device for medical science infusion,
It comprises the pin unit that can be attached at skin.The described pin unit being attached at skin includes subcutaneous sleeve pipe
And standpipe connection, described standpipe connection allow subcutaneous location in the health of issuing unit and patient it
Between set up fluid communication.
One purpose of some embodiments of the present invention is to provide a kind of issuing unit, and it can be by structure
Make as single-piece unit, or be configured to have and can use parts and the two-piece unit of disposable unit again.
Electronic device, drive mechanism and pumping mechanism and other relatively costly parts can be comprised such as again with parts,
For detecting the sensor of blocking;Disposable unit comprises reservoir and discharge port.Battery can fill
In disposable unit and/or can be again with in parts.
One purpose of some embodiments of the present invention is to provide a kind of device, and it uses and can disengage
With the issuing unit reconnected.
One purpose of some embodiments of the present invention is to provide a kind of infusion device, and it comprises three
Unit~RCU, issuing unit and pin unit.Wherein issuing unit or so-called joint can be connected
Be connected to pin unit/from pin list disengage, wherein pin unit may be attached to skin.Infusion programming can be by remote control
Unit or realized by least one control knob of being arranged on joint.
One purpose of some embodiments of the present invention is to provide a kind of infusion device, and it comprises granting
Unit, described issuing unit can be connected to pin unit and depart from pin unit.Pin unit includes that skin is suitable
Answering property saddle, this saddle is equipped with sleeve pipe and standpipe connection.
One purpose of some embodiments of the present invention is to provide a kind of infusion device, and it comprises granting
Unit, described issuing unit can be connected to skin compliance saddle and depart from this saddle.Comprise sleeve pipe
Can be inserted in skin by saddle with the pin unit of standpipe connection.
One purpose of some embodiments of the present invention is to provide a kind of infusion device, and it comprises by extremely
Lack the issuing unit of a parts composition and there is another unit (pin of saddle, standpipe connection and sleeve pipe
Unit).Saddle has the adhesion layer allowing to adhere to skin in its bottom side, and attachment member is arranged on
On on the upside of it, to allow issuing unit is connected to saddle.Standpipe connection is connected to sleeve pipe on the downside of it,
And side has rubber interval body (that is, silicone, chlorobutyl rubber) thereon.
The discharge port of issuing unit is provided with short connecting element, and it has and connects in issuing unit and vertical tube
The sharp hollow end of fluid communication between Kou.This connecting element, is hereinafter also referred to as " connects tube chamber
", it is allowed to rubber interval body is carried out multiple puncture, and between reservoir and sleeve pipe, sets up fluid even
Logical.
One purpose of some embodiments of the present invention is to provide a kind of method, and it allows by flexibility
Soft percutaneous sleeve pipe infusion fluid in the health of patient.Sleeve pipe can be manually or by special bullet
Spring loads inserter and inserts in patient body.
One purpose of some embodiments of the present invention is to provide a kind of method, and it allows by adhering to
Component, by saddle patch symbol to patient skin surface, therefore provides the fixing of sleeve pipe and for dispatch hist
The anchoring base portion of unit.
The another object of some embodiments of the present invention is to provide a kind of method, and it makes issuing unit
Can be connected to pin unit and disengage from it, the discharge port of issuing unit is connected to standpipe connection, sends out
Put joint housing and be connected to saddle, and puncture rubber interval body by connecting tube chamber.
The another object of some embodiments of the present invention is to provide a kind of safe, simple, reliable and makes
The method that user is friendly, for issuing unit being connected to patient and departing from from it, maintains health simultaneously
With the damage avoided patient and/or infusion device.
Accompanying drawing explanation
Describe embodiments of the present invention below with reference to accompanying drawings in detail, in the accompanying drawings with identical accompanying drawing
Labelling represents corresponding parts.
Fig. 1 shows exemplary fluid dispensing apparatus according to certain embodiments of the present invention, its bag
Include issuing unit and RCU.
Fig. 2 a-b shows that exemplary single-piece according to certain embodiments of the present invention and two-piece type are sent out
Put unit.
It is exemplarily that issuing unit is straight that Fig. 3 a-c shows according to certain embodiments of the present invention
Attachment is connected to health.
Fig. 4 a-c shows that the pin unit used according to certain embodiments of the present invention exemplarily will
Issuing unit patch accords with the skin to patient.
Fig. 5 a-b shows the exemplary operation of issuing unit according to certain embodiments of the present invention
Pattern.
Fig. 6 a-b show according to certain embodiments of the present invention include showing of they internal parts
Example single-piece and two-piece type issuing unit.
Fig. 7 a-c shows and uses infusion exemplarily to exist according to certain embodiments of the present invention
Fluid communication is set up between issuing unit and sleeve pipe.
Fig. 8 a-b show according to certain embodiments of the present invention there is the exemplary of standpipe connection
Issuing unit.
Fig. 9 a-b show according to certain embodiments of the present invention for making together with standpipe connection
Exemplary puncture box and puncture component.
Figure 10 a-d shows that use according to certain embodiments of the present invention is shown in the perpendicular of Fig. 8 a-b
The exemplary grommet of interface tube is inserted.
Figure 11 a-d shows exemplary pin unit according to certain embodiments of the present invention.
Figure 12 a-b shows that use according to certain embodiments of the present invention has saddle and punctures box
The exemplary grommet of the pin unit of part is inserted.
Figure 13 a-c shows that exemplary issuing unit according to certain embodiments of the present invention connects
Disengage to pin unit with from it.
Figure 14 a-b shows the example with circular cross section according to certain embodiments of the present invention
Property reservoir.
Figure 15 a-b show according to certain embodiments of the present invention there is showing of oval cross section
Example reservoir.
Figure 16 a-b shows the example with oval cross-section according to certain embodiments of the present invention
Property reservoir.
Figure 17 a-b shows having by four curve limits according to certain embodiments of the present invention
The exemplary reservoir of cross section.
Figure 18 a-b shows disposable unit according to certain embodiments of the present invention, including
Exemplary syringe type reservoir.
Figure 19 a-f shows exemplary reservoir filling according to certain embodiments of the present invention and opens
Use program.
Figure 20 a-b shows the exemplary storage using adapter according to certain embodiments of the present invention
Storage filling.
Figure 21 a-e shows disposable unit according to certain embodiments of the present invention and can use portion again
The exemplary connection of part, wherein plunger is shared by described reusable parts and disposable unit.
Figure 22 a-c shows disposable unit according to certain embodiments of the present invention and can use portion again
The exemplary connection of part, during wherein plunger is placed in disposable unit.
Figure 23 a-b shows issuing unit according to certain embodiments of the present invention, its have for
The exemplary drive mechanism of plunger displacement, this drive mechanism is equipped with screw rod and nut.
Figure 24 a-b shows issuing unit according to certain embodiments of the present invention, its have for
The exemplary drive mechanism of plunger displacement, this drive mechanism is equipped with screw rod, nut and driving spring.
Figure 25 a-b shows issuing unit according to certain embodiments of the present invention, its have for
The exemplary drive mechanism of plunger displacement, this drive mechanism is equipped with screw rod, nut and lever arm.
Figure 26 a-c shows issuing unit according to certain embodiments of the present invention, and it has example
Property drive nut and plunger.
Figure 27 a-b show according to certain embodiments of the present invention can be again with parts and disposable
The example seal realized when parts connect, it uses packing ring such as o-ring.
Figure 28 a-b show according to certain embodiments of the present invention can be again with parts and disposable
The another exemplary realized when parts connect seals.
Figure 29 a-d shows issuing unit according to certain embodiments of the present invention, and it has can be again
With parts and the disposable unit being configured to semi-ring surface form.
Figure 30 a-b shows issuing unit according to certain embodiments of the present invention, and it has can be again
With parts and disposable unit, wherein reservoir is configured to segment.
Detailed description of the invention
In order to overcome the limitation of legacy system, and in order to avoid price limit with in order to extend patient
Customization capability, the third generation can be attached at the granting joint of skin and be suggested.One example of this device
Be described in CO-PENDING/the U.S. Patent application No.11/397,115 that owns together and international monopoly Shen
Please No.PCT/IL 06/001276, the disclosure of above-mentioned application is incorporated by reference this Shen on the whole
Please.In such a device, issuing unit includes two parts:
-parts can be used again, including driving and pumping mechanism, electronic device, relative with other high
Your parts;And
-disposable unit, including not expensive components, such as reservoir, pipe and battery.
This concept provides a kind of low-cost type scheme, and allows the purposes of expansion instrument, such as,
Use the reservoir of various sizes.An improvement to the pump of the be attached at skin with two parts
Be described in CO-PENDING/the U.S. Patent application No.60/876 that owns together, 679, United States Patent (USP) Shen
Please No.12/004,837, and international patent application No.PCT/IL 07/001578, the public affairs of above-mentioned application
Open content to be incorporated by reference herein on the whole.In those references, for connecting and take apart can
The method of the pump being attached at skin comes forth.Described method use saddle, its by initial adherence in skin,
Then sleeve pipe is inserted in health by saddle.Therefore two-piece type pump can connect based on patient's decision-making
Disengage to saddle and from saddle.
This concept allows multiduty operator scheme, inserts including craft and automatic casing, it is allowed to make
With the sleeve pipe of various length, and sleeve pipe is allowed to insert with various insertion angles.
Instant invention overcomes the many disadvantages in legacy system, and retouch referring to Fig. 1-30b
State.
Fig. 1-5b shows exemplary fluid dispensing apparatus (1) according to certain embodiments of the present invention
With the various options for being attached to patient body.Fig. 1 shows device (1), for controlling
Treatment fluidic medical is infused in the patient.Device (1) includes issuing unit (10) and RCU
(40).Issuing unit (10) communicates with RCU (40), and RCU can send order,
Receive and process the instruction from issuing unit (10), etc..RCU (40) can include showing
Show device and multiple button so that control unit (10) and the operation of (40).Unit (10) and (40)
Can be with wireless, wired, special line, radio frequency or any other type of communication.Unit (40)
Can be personal computer, notebook computer, iPod, PDA, mobile phone, remote controller, or any its
The device that it is suitable.
Fig. 2 a-b shows the additional detail of issuing unit (10).Issuing unit can include single-piece (as
It is shown in Fig. 2 a) or two parts (as shown in Fig. 2 b).Two-piece type issuing unit (10) includes can be again
With parts (100) and disposable unit (200), wherein disposable unit (200) includes outlet side
Mouth (210).One-piece unit (10) can also include discharge port (210).Some embodiment party
In formula, issuing unit (10) includes the discharge port (210) being positioned at its lower surface.Discharge port (210)
It is in fluid communication with the reservoir (not shown) being arranged in unit (10), and allows fluid opening
Drip during with, and therapeutic fluids is delivered in the patient.
Fig. 3 a-c show according to certain embodiments of the present invention exemplarily by patch accord with dispatch hist
Unit (10) to patient skin (5).Fig. 3 a shows removal binding agent protective layer (13).Binding agent
Protective layer (13) can be arranged in the bottom of unit (10), and once layer (13) is removed,
Unit (10) can be directly attached to the skin (5) of patient.Fig. 3 b shows issuing unit (10)
Adhere to skin (5).Fig. 3 c shows that issuing unit (10) has been adhered to skin (5).Ability
Field technique personnel are appreciated that unit (10) can be directly attached to skin (5) or pass through intermediate layer
/ device adheres to skin.
In some embodiments, as shown in Fig. 4 a-c, pin unit (20) can be with initial adherence in skin
Skin (5).Then, decision-making based on patient, issuing unit (10) can be connected to (with the most de-
From) pin unit (20).Fig. 4 a shows the pin unit (20) adhering to patient body.Fig. 4 b shows
Go out and issuing unit (10) has been connected to pin unit (20).Fig. 4 c shows issuing unit (10)
Have been connected to pin unit (20) and be ready for may be used for operation.
Fig. 5 a-b shows the various of issuing unit (10) according to certain embodiments of the present invention
Operator scheme.Patient by using RCU (40) (as shown in Fig. 5 a) or can be arranged by use
One or more button (15) (as shown in Fig. 5 b) in issuing unit (10) operates issuing unit
(10).By utilizing RCU (40) or button (15) input order, unit (10) is permissible
Implementing various function, such as, granting fluid, in the patient, produces the feedback about fluid delivering amount,
Produce various alarm, etc..
Fig. 6 a-b shows issuing unit or " connector unit " (10) of exemplary be attached at skin,
It uses syringe type pump, is used for providing fluid in the patient.Fig. 6 a shows single-piece issuing unit
(10).Unit (10) include housing, housing comprise reservoir (220), fluid delivery (230),
Discharge port (210), power supply (such as, one or more battery) (240), electronic device components (130),
Drive mechanism (120) and manual button (15).Reservoir (220) through delivery tube (230) with
Discharge port (210) is in fluid communication, and allows therapeutic fluids through discharge port (210)
Deliver (such as, insulin) in the patient.In order to pump fluid to fluid from reservoir (220)
In delivery tube (230), plunger (110) is provided in reservoir (220), and can be towards stream
Body delivery tube (230) promotes fluid.Plunger (110) is connected to drive mechanism (120), and it drives
Plunger (110) moves in reservoir (220).Drive mechanism (120) includes that motor is (such as,
Motor, DC motor, SMA actuator or the like) and be used for driving driving of plunger (110)
Moving gear.Drive mechanism is controlled by electronic device (130), and this electronic device can include controller, place
Reason device, transceiver and other electron component.Power supply (240) provides electric energy to electronic device (130)
With drive mechanism (120), it is used for receiving/sending order, and for driving in reservoir (220)
Dynamic plunger (110).Unit (10) can use remote controller (40) (not shown) and/or use setting
One or more button (15) in issuing unit (10) is programmed.Button (15) can connect/
Switching units (10), it is provided that infusion/granting instruction, causes transmission/reception order, etc..
Fig. 6 b shows exemplary two-piece type issuing unit according to certain embodiments of the present invention
(10), it has and can use parts (100) and disposable unit (200) again.Unit (10) uses
Pumping mechanism such as displacement pump.The unit (10) being shown in Fig. 6 b includes and the unit (10) being shown in Fig. 6 a
In similar parts.But, some parts are placed in can be used in parts (100) again, other parts
It is placed in disposable unit (200).
Can again with parts (100) include drive mechanism (120) (such as, motor, one or more gear
Deng), electronic device (130), at least one button (15), and various electric connector.Disposable portion
Part (200) includes the reservoir (220) being provided with plunger (110), power source means (240), fluid
Delivery tube (230), and discharge port (210).In some embodiments, plunger (110) is permissible
It is placed in and can use in parts (100) again, or by sharing with parts and disposable unit again.Pass through
Use remote controller (40) (not shown) and/or use be arranged on can use again on parts (100) or
Multiple buttons (15), infusion programming is capable of.By can use again parts (100) connect (as
Shown in arrow) to disposable unit (200), it is possible to carry out fluid granting.Such two-piece type
A kind of embodiment of unit be disclosed in CO-PENDING/the U.S. Patent application No. that owns together
11/397,115 and international patent application No.PCT/IL 06/001276, the disclosure of above-mentioned application is whole
It is incorporated by reference herein on body.The operation of the two-piece unit (10) being shown in Fig. 6 b is similar to
It is shown in the operation of the unit (10) of Fig. 6 a.
Fig. 7 a-13c shows that use issuing unit (10) according to certain embodiments of the present invention exists
Fluid reservoir (220) and in the patient between set up the exemplary approach of fluid communication.
Fig. 7 a-c shows exemplary infusion (50) according to certain embodiments of the present invention,
For delivering therapeutic fluids (such as, insulin) in the patient.As shown in Fig. 7 a-c, infusion
External member (50) is arranged in the hull outside of issuing unit (10).Infusion (50) includes connecting
Pipe (52), set hub (54), sleeve pipe (330) and puncture component (320).Connecting tube (52) is connected to
Overlap hub (54) and be in fluid communication with sleeve pipe (330).Set hub (54) allows puncture component (320)
Insertion in sleeve pipe (330).By puncture component (320) is passed sleeve pipe (330), puncture component
(320) patient skin (5) (being not illustrated in Fig. 7 a) can be punctured and allow sleeve pipe (330) to insert skin
Lower portion (that is, is positioned at below patient skin).Set hub (54) can also include adhesion layer (57),
It can adhere to skin (5), in order to during fluid delivers, set hub (54) is anchored on skin
Skin.Following permission fluid delivers through infusion (50), and connecting tube (52) connects (or insertion)
To discharge port (210).Discharge port (210) can be provided with adapter such as, and luer is locking
Adapter, for setting up reliable and/or sealing between infusion (50) and issuing unit (10)
Connect.By connecting tube (52) is inserted discharge port (210), reservoir (220) and sleeve pipe (330)
Fluid communication with each other, and therapeutic fluids can be passed through sleeve pipe (330) from reservoir (220)
Deliver in the patient.
Fig. 7 b shows that issuing unit (10) is attached directly to skin (5) and is connected to infusion set
Part (50), as previously discussed.As it can be seen, puncture component (320) has already passed through set hub (54)
With sleeve pipe (330), and puncture patient skin (5), to allow sleeve pipe (330) and puncture component
(320) project in subcutaneous location.Puncture component (330) can include piercing portions (such as, sword
Body etc.), it can puncture patient skin and therefore allow sleeve pipe (330) to insert.Puncturing
Part (320) is arranged under the state in set hub (54) and sleeve pipe (330), and fluid can not be delivered to
Patient.
Fig. 7 c shows and is connected to infusion (50) recalling puncture component (320) unit afterwards (10).
Once puncture component is withdrawn, and fluid communication is set up in sleeve pipe (330) and the storage of issuing unit (10)
Between device (220), and fluid can be delivered to patient.
Fig. 8 a-10d shows the reality of issuing unit (10) according to certain embodiments of the present invention
Execute example, wherein, standpipe connection (60) with by reservoir (220) and wearing that sleeve pipe (330) is connected
Thorn box (62) is used together.One illustrative embodiments of this system be disclosed in CO-PENDING/
The U.S. Provisional Application No.60/833 owned together, 110 and 60/837,877, and international patent application
PCT/IL 07/000932, the disclosure of above-mentioned application is incorporated by reference herein on the whole.
Fig. 8 a shows exemplary two-piece type issuing unit (10).As before, issuing unit (10)
Including can again with parts (100) and for and the disposable unit (200) that can be connected with parts (100) again.
Can again with parts (100) include plunger (110), drive mechanism (120) (such as, motor, gear,
With other parts), electronic device (130), button (15), by each electronic device (130) parts with
The connecting lead wire that battery (240) connects.Disposable unit (200) includes battery (240), storage
Device (220), fluid delivery (230), discharge port (210).As before, reservoir (220)
It is in fluid communication with discharge port (210) through fluid delivery (230).Discharge port (210) is entered
One step includes standpipe connection (60), and it is through fluid delivery/tubular connector (230) and reservoir
(220) fluid communication.Standpipe connection (60) is provided with opening (64), punctures box (320) and sleeve pipe
(330) this opening (this state is not illustrated in Fig. 8 a) can be passed.
By using lock bolt, buckle structure or other suitable structure any, parts (100) can be used again
Can be connected to each other with disposable unit (200).In some embodiments, gastight seal
(97) can be placed between parts (100) and (200), to prevent dirt or other outside unit
Part enters.As being further illustrated in Fig. 8 a, the plug portion of plunger (110) (its by fluid towards discharge
Port (210) promotes) it is contained in reservoir (220), the shaft portion of plunger (110) is by part
Be arranged in and can use again in parts (100) and disposable unit (200).The axle portion of plunger (110)
Divide the drive mechanism (120) being connected to for impeller-hub part, and be configured to be suitable at parts
(100) and move between (200).Such as, during reservoir filling operation, plunger (110)
Shaft portion moved back along the direction leaving reservoir (220);And in the process of the program of granting
In, the shaft portion of plunger (110) is by mobile towards reservoir (220), thus pushes fluid into stream
In body delivery tube (230) and discharge port (210).
The standpipe connection (60) that Fig. 8 b is disposed upon in disposable unit (200) is along in Fig. 8 a
The sectional view that line A-A' is made.As shown in Fig. 8 b, standpipe connection (60) and fluid delivery (230)
Fluid communication.In some embodiments, fluid delivery (230) can be connected to connecting tube (231).
Connecting tube (231) is in fluid communication with opening (64).Once puncture box (320) by from opening (64)
Removing, fluid can flow through connecting tube (231) from fluid delivery (230), and enters opening
(64) and towards discharge port (210) flow, in order to be delivered to patient.Connecting tube (231) and
Connection between fluid delivery (230) is to be tightly connected, its stop fluid delivery (230) from
Adapter (231) slippage and any leakage of fluid or dirt enter opening (64).Real at some
Executing in mode, opening (64) can also include interval body parts, and it is eliminating puncture component (320)
After seal up opening (64).Interval body also can stop dirt to enter standpipe connection (60) and the letting out of fluid
Dew.
Fig. 9 a shows exemplary puncture box (62) according to certain embodiments of the present invention.Puncture
Box (62) includes body part (63), sleeve pipe (330), self-seal type interval body (313), punctures
Part (320).Puncture component (320) can be configured to sword body (321), has sharp distal tip and grasping
Portion (322).Puncture component (320) is adapted to puncture the surface (being not illustrated in Fig. 9 a) of skin (5).
Puncture component (320) passes interval body (313) and sleeve pipe (330).Interval body (313) seals up to be worn
Path (comprising sleeve pipe (330)) in the body part (63) of thorn box (62).Once puncture component (320)
Being removed by the path from body part (63), interval body (313) seals up described path.Fig. 9 a
Show that interval body (313) seals described path.Fig. 9 b shows that puncture component (320) is placed
In puncturing box (62).
Figure 10 a-d shows the special inserter of use according to certain embodiments of the present invention (70)
The exemplary insertion carried out and percutaneous placement sleeve pipe (330).The exemplary embodiment party of inserter (70)
Formula be disclosed CO-PENDING/the U.S. Provisional Application No.60/861 that owns together, 345, above-mentioned Shen
Disclosure please is incorporated by reference herein on the whole.
Figure 10 a is standpipe connection (60) and the sectional view of inserter (70), wherein inserter (70)
It is loaded puncture box (62).Inserter (70) include housing (71), spring-actuated mechanism (73),
Release button (74), puncture component keep platform (76), projection (72a) and (72b).Release button
(74) be connected to spring-actuated mechanism (73), and allow to discharge spring-actuated mechanism (73) so that
In general's puncture box (62) insertion standpipe connection (60) (and utilize puncture component (320) pierce skin
(5)).Projection (72) is connected to housing (71), and is configured to be suitable to and standpipe connection (60)
Respective recesses (66a) and (66b) coordinate.Standpipe connection (60) is inserted puncturing box (62)
During, projection (72) and the depression (66) stability needed for housing (71) provides.As
Being shown in Figure 10 a, housing (71) is loaded puncture box (62) (with puncture component (320) and sleeve pipe (330)
Together), and spring-actuated mechanism (73) is in compressive state (such as, spring is compressed).Protect
The platform (76) that maintains an equal level fastens the puncture box (62) inserted before standpipe connection (60).
Inserting standpipe connection (60) to puncture box (62), user/patient is by projection (72)
Align with depression (66), and facing to standpipe connection (60) rugged housing (71).Then, make
User/patient presses the button (74), and spring-actuated mechanism (73) is released.Once spring opens
Motivation structure is released, and punctures box (62) and is just inserted in standpipe connection (60), and puncture component (320)
Pierce patient skin.Along with pierce skin (5), it is loaded in the sleeve pipe (330) punctured in box (62)
Insert in patient's subcutaneous location.Once skin (5) is by pierce, and spring-actuated mechanism (73) is compressed,
And puncture component (320) is by from puncturing box (62) removal.Once puncture component (320) is removed,
Puncture box (62) to keep being deposited in standpipe connection (60) together with sleeve pipe (330).Real at some
Execute in mode, use spring-actuated mechanism, puncture box (62) and puncture component (320) is inserted simultaneously into
Or insert in tandem.Said process shows in Figure 10 b-c.
Once puncture box (62) to be positioned in standpipe connection (60), and sleeve pipe (330)
Being deposited in skin (5) subcutaneous location below, inserter (70) is removed, as shown in figure
10d.Through puncturing box (62), fluid communication is set up at fluid delivery (230) and sleeve pipe (330)
Between.Self-seal type interval body (313) provides the sealing punctured needed for box (62), in order to anti-fluid stopping
The leakage of body and dirt enter.
Figure 11 a-13c shows exemplary issuing unit according to certain embodiments of the present invention
(10), it utilizes pin unit (20) to be connected to skin (5).The exemplary enforcement of pin unit (20)
Mode be disclosed in detail in CO-PENDING/the U.S. Patent application No.60/876 that owns together, 679, on
The disclosure stating application is incorporated by reference herein on the whole.
In some embodiments, pin unit (20) (also referred to as saddle unit) includes two parts:
1. saddle, it is provided with:
A. saddle.
2. puncture box parts (also referred to as sleeve pipe housing unit), comprising:
A. standpipe connection;
B. sleeve pipe;With
C. puncture component.
Figure 11 a is the side view of exemplary saddle (21) according to certain embodiments of the present invention.
Saddle (21) includes saddle (300), connects lock bolt (306a-d), opening (307), anchoring lock
Door bolt (302a-d).Anchoring latches (302) is arranged around the periphery of saddle (300), and will provide
Unit (10) is fastened to saddle (21).Connect lock bolt (306) to arrange around opening (307), and
Box parts (22) (being shown in Figure 11 D) will be punctured and be fastened to saddle (300).In some embodiments,
Lock bolt (302) and (306) are respectively in lock bolt and issuing unit (10) and puncture box parts (22)
Between produce snap-lock structure.
Figure 11 b-c is illustrated in top view and the perspective view of the saddle (21) of Figure 11 a.Implement at some
In mode, saddle (300) can include protuberance border, and it allows the issuing unit (10) to inserting to carry
For further stability.
Figure 11 d shows puncture box parts (22), and it is similar to puncture box (62) previously discussed,
And including some similar component.Parts (22) include standpipe connection (310), lateral recesses (316a
-d), interval body (313), sleeve pipe (330), puncture component (320).Depression (316) is corresponding to lock
Door bolt (306), and be configured to be suitable to puncture when box parts (22) are connected to saddle (21) with
Lock bolt (306) coordinates, thus will puncture box parts (22) and be anchored to saddle (21).Assembling shape
State, puncture component (320) passes standpipe connection (310) and the sleeve pipe (330) of parts (22).Between
Spacer (313) seals up standpipe connection (310), to prevent fluid leakage and/or dirt from entering.
Figure 12 a-b shows saddle (21) according to certain embodiments of the present invention and punctures box portion
The exemplary connection of part (22).After saddle (21) is adhered to patient skin (5), parts
(21) it is connected, as shown in Figure 12 a with (22).Use binding agent or other component any, attached
Can realize to skin (5).It will be understood by those skilled in the art that and will be attached to skin (5)
Before, the adhesion layer on saddle (21) is facing to skin (5).Once saddle (21) is secured to
Skin (5), and before issuing unit (10) connects, set up through puncturing box parts (22)
Lead to the entrance of patient subcutaneous location.Return to Figure 12 a, use lock bolt (306) and depression (316)
Combination, puncture box parts (22) can realize to the connection of saddle (21).People in the art
Member is appreciated that the mode of other connection member (21) and (22) is also feasible.Once parts
(21) and (22) are secured to each other, puncture component (322) punctures skin (5), and allows set
Pipe (330) inserts in subcutaneous location.
After inserting sleeve pipe (330), puncture component (320) can be removed.Figure 12 b shows and wears
Thorn part (320) is removed from puncturing box parts (22).After puncture component (320) is removed, saddle
(21) remain adhered to skin (5), and sleeve pipe (330) remains inserted in health.Between self-seal type
Spacer (313) seals up standpipe connection (310), and allows the connection tube chamber of issuing unit (10)
(being not illustrated in Figure 12 b) repeats to puncture interval body (313), in order to deliver with sleeve pipe (330) and fluid
Pipe (230) (not shown) sets up fluid communication.Therefore, issuing unit (10) can as required with
Arbitrarily repeatedly it is connected to pin unit (20) and departs from pin unit.Self-seal type interval body (313) prevents
The leakage of provided fluid and dirt enter.
Figure 13 a shows that issuing unit (10) according to certain embodiments of the present invention is to pin unit
(20) exemplary connection.In order to be connected with pin unit (20), issuing unit also includes connecting tube
Chamber (250).Connect tube chamber (250) to be in fluid communication with reservoir (220).Connect tube chamber (250)
It is further arranged as near discharge port (210).In some embodiments, discharge port (210)
It is configured to the depression in the housing of issuing unit (10), in order to allow reception to be placed in saddle (300)
Opening (307) (see Fig. 9 a-12d) in puncture box parts (22).When issuing unit (10)
Reach tight with pin unit (20) adjacent time, connect tube chamber (250) and puncture the self sealss of standpipe connection
Rubber interval body (313), and between tube chamber (250) and sleeve pipe (330), set up the stream of sealing
Body connects, thus allows to be in fluid communication between sleeve pipe (330) and reservoir (220).For sending out
Putting unit (10) and be fastened to saddle (21), issuing unit (10) includes recess (12a-d), it
Be configured to the anchoring latches (302a-d) be suitable to pin unit (20) and coordinate.Issuing unit (10)
The connection to pin unit (20) represent with the arrow in Figure 13 a.Figure 13 b shows issuing unit
(10) pin unit (20) (and issuing unit is in operator scheme) it is attached to.People in the art
Member be appreciated that the connection to pin unit (20) of issuing unit (10) can use any other
Component is set up.
Figure 13 c shows that the lock bolt (302) by pulling back elastically deformable pulls down issuing unit
(10).Then, issuing unit (10) is pulled along the direction leaving pin unit (20), such as figure
Shown in arrow in 13c.After removing issuing unit, pin unit (20) continues to remain adhered to skin
Skin (5), and sleeve pipe (330) is continually maintained in subcutaneous location.Self-seal type interval body (313)
After removing issuing unit (10), holding seals standpipe connection (310) securely, thus anti-fluid stopping
The leakage of body and/or dirt enter.
Figure 14 a-16b shows exemplary reservoir (220) according to certain embodiments of the present invention.
Figure 14 a-b shows that exemplary reservoir (220) has circular cross section.Figure 15 a-b shows
Exemplary reservoir (220) has oval cross-section.Figure 16 a-b shows exemplary reservoir (220)
If having the cross section limited by stem curve (such as, 4-curve, 8-curve).
Figure 14 a shows cylinder-shaped reservoir device (220), and it has plunger (110).Reservoir (220)
Including the hollow housing surrounded by storage wall.The open at one end of reservoir (220), other end closing,
To prevent fluid leakage.The open end of reservoir is blocked by plunger (110), thus prevents fluid from spacious
Beginning reveals.As it was previously stated, before and after plunger (110) is configured to be suitable in reservoir (220)
Slide, to force fluid to be discharged from the discharge port (210) being arranged on reservoir (220) housing.
For example, reservoir (220) can accommodate the fluid of maximum 2 cubic centimetres (cc).It has length
Degree (V) (for example, it is possible to about 18mm), internal diameter (D) (such as, about 12mm), and
Wall thickness (t) (such as, about 1mm).In some embodiments, the height of plunger is of about 14mm.
Figure 14 b is the sectional view of reservoir (220).This sectional view is the direction B marked in Figure 14 a
-B ' is made.
Figure 15 a shows avette (or oval) reservoir (220) with plunger (110).Figure
15b is the sectional view of reservoir (220).This sectional view is along Figure 15 b acceptance of the bid outgoing direction C-C '
Made.Some advantages of elliptical or oval shape reservoir (220) are to reduce the thickness of reservoir
Degree, and therefore allow whole unit (10) (not shown) to have tiny profile.
Figure 16 a shows the reservoir (220) with oval cross section.As before, storage
Device (220) is provided with plunger (110).Figure 16 b shows the sectional view of reservoir (220).This cuts open
View is that the direction E-E ' marked in Figure 16 a is made.As before, plunger (110)
There is the cross section with the internal engagement of reservoir (220).
The ellipse and the oval structures that are shown in Figure 15 a-16b cause reservoir (220) to have thin contour,
Its thickness is of about 10mm.The length of such reservoir can be store in the rank of about 20mm
The capacity of storage can be the fluid of maximum 2cc.It will be understood by those skilled in the art that equipped with this
The issuing unit (10) planting elliptical or oval shape reservoir also can have thin contour, thus carries to patient
For comfortable and light and handy pump unit.
Figure 17 a-b shows many shaped forms reservoir (220) according to certain embodiments of the present invention.
Figure 17 a is the perspective view of many shaped forms reservoir (220), and Figure 17 b is illustrated in the reservoir of Figure 17 a
The sectional view made along line F-F'.Reservoir (220) is further equipped with plunger (110).As shown in
Figure 17 a-b, four curves of the cross section of reservoir (220) are by limiting.Two of which curve (top
Curve 2001 and bottom curve 2003) there is radius R1, two other curve (side curve 2002
With 2004) there is radius R2.Connection between every two adjacent curves is smooth.This many curves
Type reservoir (220) provides additional rigidity to reservoir (220), also allows for maintaining storage simultaneously
The thin contour of storage (220).It will be understood by those skilled in the art that reservoir (220) can be by four
Its shape of curve limit more than bar, and every curve can have different radius, length and width
Degree.
It will be understood by those skilled in the art that issuing unit (10) can multiple reservoirs (220), its
In each reservoir can have different shape, design and sizes, as shown in Figure 14 a-17b.
Figure 18 a-19f show reservoir (220) filling according to certain embodiments of the present invention and
Enable program.Specifically, Figure 18 a-19e shows the disposable unit (200) in filling operation,
Figure 19 f shows the disposable unit 200 in the program of enabling.
As shown in Figure 18 a, disposable unit (200) include having plunger (110) reservoir (220),
Fluid delivery/tubulose connects (230), battery (240), discharge port (210).These parts
Configuration and connection are described above.As further illustrated in Figure 18 a, disposable unit (200)
(and therefore issuing unit (10)) can have elliptical or oval shape profile.Figure 18 b is illustrated in
The transverse sectional view of the disposable unit (200) of Figure 18 a.As being further illustrated in Figure 18 b, disposably
The discharge port (210) of parts (200) includes connecting tube chamber (250).Connect tube chamber (250) warp
Cross fluid delivery (230) to be in fluid communication with reservoir (220).As it was previously stated, connect tube chamber (250)
Allow to be in fluid communication between reservoir (220) and the parts being connected to tube chamber (250).This
In the case of, tube chamber (250) is used for from cartridge delivery fluid to reservoir (220).In filling
Before reservoir (220), plunger (110) is driven fully in reservoir (220), thus plunger
Axle be located substantially entirely in reservoir, as shown in Figure 18 a-b.
Therapeutic fluids container (6) (such as, comprising insulin) is connected at discharge port (210) place
It is connected to disposable unit (200), as shown in Figure 19 a-b.Specifically, tube chamber (250) thorn is connected
The interval body (7) of broken container, thus allow fluid from container (6) transmission to reservoir (220).Logical
Cross and pull the axle of plunger (110) and therefore produce the suction by fluid extracts from container (6) and make
With, fluid is extracted out from container (6), as shown in Figure 19 c-e.It is filled with the stream of reservoir (220)
The amount of body (that is, insulin) can customize according to the needs of patient, i.e. for child, is used for
The required dosage of whole day is relatively small, therefore can the part of a filling reservoir (220);And it is right
In adult, the whole volume of reservoir (220) can be used.Therefore, by means of reservoir with disposable
The previously described configuration of parts, it is no longer necessary to the reservoir (220) of custom-made is provided, and several
Fluid will not be wasted.In some embodiments, patient/user can be observed in filling operation
It is filled with the fluid of reservoir (220).
Figure 19 f shows that exemplary reservoir (220) according to certain embodiments of the present invention enables
Program.The program of enabling is designed to after removing container (6) to clean out and any is likely to accumulate in reservoir
(220) air in.By disposable unit (200) being maintained at stand up position and pushing away forward
Hydraulic plunger (110), until fluid (8) drips from discharge port (210), can clean out bubble.
In some embodiments, reservoir (220) can be placed in be held in external shell
In secondary property parts.Such housing can be made of clear material at least in part, to allow patient even
Monitor the fluid level/composition in reservoir (220) continuously.
In some embodiments, it is possible to use minor adaptations (213) realizes reservoir (220)
Filling operation, as shown in Figure 20 a-b.Figure 20 a shows example adaptor (213), its bag
Include two contrary ports: a port (211) is used for connecting container (6), another port (211')
For connecting with reservoir (220).Port (211) includes pin (215), its by with container (6)
Connect and puncture the interval body (7) of container.Adapter (213) farther includes rubber interval body (217),
It seals up port (211').When adapter (213) is connected to discharge port (210), interval
The connected tube chamber (250) of body (217) punctures, in order to for the purpose of fluid transmission.Figure 20 b shows
Go out adapter (213) to disposable unit (200) and the connection of container (6).As it can be seen,
Container (6) is connected to the port (211) of adapter (213), and the port (211') of adapter (213)
It is connected to the port (210) of disposable unit (200).The most above-mentioned connection is done, and treatment is flowed
Body will be transmitted and reservoir (220) by adapter (213) from container (6), thus to storage
Storage (220) fluid-filling.The filling journey that filling operation is discussed with reference to Figure 18 a-19e before being similar to
Sequence.In some embodiments, reservoir (220) can use and be connected to inlet port and (be not illustrated in
Figure 20 a-b) auxiliary needle cylinder carry out filling.
After being filled with reservoir (220), parts (100) and disposable unit (200) can be used again
Can be connected to each other, thus produce issuing unit (10), as previously discussed.Issuing unit (10)
Can then be attached to patient skin, as it can be seen, such as shown in Figure 13 a-c.
Figure 21 a-e and 22a-c show according to certain embodiments of the present invention exemplary disposably
Parts (200) and can use parts (100) again, wherein the bar (110b) of plunger (110) is arranged in
In both parts.As shown in Figure 21 a, plunger (110) includes stopper head (110a) and plunger rod
(110b).Stopper head (110a) is connected to plunger rod (110b).Plunger rod (110b) is connected to
Drive mechanism (120), this drive mechanism allows plunger (110) can use parts (100) and again
Move between secondary property parts (200).The motion of plunger rod (110b) causes stopper head (110a) to exist
Motion in reservoir (220).Plunger rod (110b) can be connected to be arranged in drive mechanism (120)
In driving gear (not shown).Additionally, the motion of plunger (110) can pass through PCB (130)
Controlling, this PCB sends suitable order to drive mechanism (120).The motion of plunger (110)
Scheme/speed (such as, basic dose measures) can be delivered with adding based on specific fluid.
In some embodiments, issuing unit (10) can also include auxiliary rod (110c), its energy
Enough it is used for filling reservoir (220), as shown in Figure 21 a.Once can use parts and disposable unit again
Be disengaged from, in order to for filling reservoir purpose (such as, user/patient receive instruction or
Judge the basic overhead of reservoir), plunger rod (110b) can automatically or manually depart from plunger
Head (110a), and auxiliary rod (110c) may be coupled to stopper head (110a).Auxiliary rod (110c)
Can pass through buckle structure, by bar (110c) is threaded onto stopper head (110a) or use any its
Component that it is suitable and be connected to stopper head (110a).
Figure 21 b shows that disposable unit (200) departs from can use parts (100), and auxiliary rod again
(110c) it is connected to stopper head (110a), and reservoir (220) is filled with therapeutic fluids.
For filling reservoir, user/patient take before with reference to similar program described by Figure 18 a-19e.
In this embodiment kind, user pulls auxiliary rod along the direction leaving reservoir (220)
(110c), as shown in the arrow in Figure 21 b.Along with user pulls auxiliary rod (110c), fluid
Extracted from container (6) (being not illustrated in Figure 21 b).Once filling operation is done, auxiliary rod (110c)
I.e. departed from from stopper head (110a) and removed from disposable unit (200), as shown in Figure 21 c.
Additionally, by filling reservoir (220), stopper head (110a) can arrive can again with parts and once
At fillet between property parts.
Once auxiliary rod (110c) is removed, and can be connected to that with parts and disposable unit again
This, as shown in Figure 21 d.By the connection of both parts, the far-end of plunger rod (110b) (deviates from
Drive mechanism and the one end close to stopper head (110a)) it is fixed in stopper head (110a);And it is near
End (being connected to one end of drive mechanism (120)) engages with drive mechanism (120).From PCB
(130), after receiving suitable order and being powered by battery (240), drive mechanism (120) is drawn
Play plunger rod (110b) forward in reservoir (220) to move.Figure 21 e shows and is operating
Issuing unit (10).By application drive mechanism (120), plunger (110) is in reservoir (220)
Moved, and fluid is promoted towards discharge port (210), thus cause delivering a fluid to patient.
As it was previously stated, this delivery can be real with various dosage (such as, boost, basic dose etc.)
Existing, and can be by user/patient, computer, remote controller (40) (not shown) and/or any
Other device is programmed in PCB (130).
Figure 22 a-c shows another exemplary issuing unit according to certain embodiments of the present invention
(10), it has two parts.In this embodiment, plunger (110) is placed in disposably
In parts (200), and can use the drive mechanism (120) parts (100) again from being arranged in
Disengage.Figure 22 a shows the issuing unit (10) before connection member (100) and (200).
The plunger (110) being shown in Figure 22 a-c includes the portion identical with the plunger (110) being shown in Figure 21 a-e
Part.It is connected to each other referring to Figure 22 a, stopper head (110a) and plunger rod (110b), and all
Being placed in disposable unit (200), wherein, stopper head (110a) is disposed in reservoir (220)
Inner side, plunger rod (110b) is disposed in reservoir (220) outside.Reservoir (220) is permissible
Utilize before being similar to reference to the program filling described by Figure 18 a-19e.In this case, use
Person/patient can pull plunger rod (110b) so that filling reservoir (220), rather than attached auxiliary rod
(110c)。
Once parts (100) and (200) are connected to each other and reservoir (220) is filled with,
Plunger rod (110b) can engage with drive mechanism (120).Such joint can be buckled by card
Structure, screw thread, socket arrangement or use other suitable mode any to realize.As battery (240), PCB
(130) after one or more electrical connection and between other electron component is established, drive mechanism (120)
Can apply power to plunger rod (110b), plunger rod applies power to stopper head (110a) the most again,
Thus fluid is released from reservoir (220) and promotes towards discharge port (210), as shown in figure
22b。
Figure 22 c shows the further operation of issuing unit (10).Along with plunger (110) is along just
Move to sending direction, the fluid in reservoir (220) through fluid delivery (230) towards row
Go out port (210) flowing, thus deliver fluid to patient.The filling of reservoir and emptying can be continuous
Be repeated (or based on regulation number of times be repeated).
Figure 23 a-26c show according to certain embodiments of the present invention utilize drive mechanism (120)
The exemplary alternative of the plunger (110) moved.Figure 23 a be have link together can be again
Top view in cross-section by the issuing unit (10) of parts (100) and disposable unit (200).Single
Unit (10) includes plunger (110), and it is provided with screw rod (110b) and is connected to screw rod (110b)
Nut (114).Nut (114) is arranged in can be again with in parts (100) and fixed, i.e.
It is not mobile along axis (1000).Screw rod (110b) and nut (114) are along axis (1000)
Align, as shown in Figure 23 a.Screw rod (110b) can be with the side of rotary motion in nut (114)
Formula moves.Nut (114) is further connected to gear (116), and its middle gear (116) is to drive
A part for mechanism (120).Gear (116) is further equipped with at least one internal cogwheel.Tooth
Wheel (116) is driven by motor (118) (such as, DC motor, motor etc.), and motor is also
A part for drive mechanism (120).In some embodiments, gear (116) by axle or is appointed
The component that what it allows motor (118) driven gear (116) to rotate is connected to motor (118).
Figure 23 b shows that plunger (110) is by mobile along axis (1000).In motor (118)
Operating process in, motor (118) swing pinion (116).The rotary motion quilt of gear (116)
It is delivered to be connected to the internal cogwheel of nut (114), causes nut (114) to rotate.Due to screw rod
(110b) inserting in nut (114), therefore the rotation of nut (114) causes screw rod (110b)
Rotate, and along axis (1000) translation bar (110b) and therefore translate plunger (110).
This translational motion of plunger (110) by the fluid in reservoir (220) towards discharge port (210)
Mobile.In some embodiments, nut (114) can serve as internal cogwheel, thus reduces gear
(116) number of components in.It will be understood by those skilled in the art that motor (118) can be along any
Direction rotates, and therefore causes nut (114) along (the rotation side according to motor (118), various directions
To) rotate.So, screw rod (110b) can rotate along corresponding direction and along axis (1000)
Anterior-posterior translation, causes plunger (110) to be movable into and out reservoir (220).As it was previously stated, it is such
Motion is controlled by PCB (130) (not shown) powered by battery (240), and can be based in advance
The scheme of programming automatically controls or hand control (such as, by pressing the button (15)).
Figure 24 a shows another exemplary issuing unit (10) according to certain embodiments of the present invention.
Issuing unit (10) includes drive mechanism (120), and it has and is loaded with driving spring (113) and (113')
Screw rod (110b) and the nut (114) that driven by motor (118) and gear (116).One
In a little embodiments, nut (114) can be arranged in disposable unit (200), and can
By one or many can be connected to the connection between parts (100) and disposable unit (200) again
Individual gear (116).Alternatively, in nut (114) can be arranged in and can use parts (100) again.
Being similar to be shown in the embodiment of Figure 23 a-b, nut (114) is fixed and not along axis (1000)
Mobile.Nut (114) is further connected to one or more gear (116) rotated by motor (118).
The rotary motion of one or more gear (116) is passed to nut (114) (through nut (114)
On engaging tooth and one or more gear (116) between interaction).Driving spring (113), (113')
It is arranged between nut (114) and stopper head (110a), and moves in reservoir (220)
Time apply additional power to stopper head (110a).When reservoir (220) is filled with or still expires,
Spring (113) is in compressive state.
Figure 24 b shows the issuing unit (10) being in fluid granting program.Motor (118) revolves
Turning one or more gear (116), this causes the rotation of nut (114).The rotation of nut (114)
Causing screw rod (110b) to rotate, so, screw rod translates along axis (1000).Along with screw rod (110b)
Translating forward, driving spring (113), (113') expand and apply additional power at stopper head (110a)
On.The additional power of application can make by motor (118) produce for by plunger (110) in storage
The moment that device (220) translates reduces.
Figure 25 a-b shows the another exemplary issuing unit (10) with drive mechanism (120).
Drive mechanism (120) includes one or more gear (116), nut (114), auxiliary nut (114a)
(114b), four articulated jibs (119), bars (110b), screw rods (110d).Drive mechanism (120)
Motor (118) drive one or more gear (116) to rotate, this causes the most again nut (114)
Rotate.Nut (114) is connected to screw rod (110d).Screw rod (110d) along with nut (114)
Identical direction rotates.Auxiliary nut (114a) and (114b) by screw threads for fastening to screw rod (110d),
That is, nut (114a) and (114b) is configured to be suitable to along with bar (110d) rotation along spiral shell
Bar (110d) anterior-posterior translation.Screw rod (110d) includes screw thread, itself and nut (114a) and (114b)
Screw thread interact.Screw threaded arrangement on nut (114a) and (114b) is reciprocal side
To, to allow nut (114a) and (114b), along bar, (110d puts down in directions opposite each other
Move.Articulated jib (119) at the pivoting articulation (115) being arranged on screw rod (110d) opposition side and
Another pivoting articulation (115') place is fastened to bar (110b) in articulated manner, as shown in Figure 25 a.
Nut (114a) and (114b) are also coupled to arm (119), thus are that arm (119) forms hinge
The pivot connect.Therefore, arm (119) has four articulation pivot, at nut (114a) and (114b)
Translational motion during allow arm (119) vertically and horizontally.As it was previously stated, when nut (114)
When being rotated by motor (118) and one or more gear (116), nut (114) rotary screw (110d),
So that nut (114a) linearly moves along screw rod (110d).Nut (114b) is also along spiral shell
Bar (110d) translates, as shown in Figure 25 b.
Therefore, when nut (114a) and (114b) are closer to each other, joint (115), (115')
Move in directions opposite each other along axis (1000), thus force plunger rod (110b) to be transported
Dynamic, and therefore plunger (110) moves towards discharge port (210) and mobile reservoir (220)
In fluid.In some embodiments, plunger (110) is forced in the reverse rotation of nut (114)
Adverse movement is made along the direction leaving discharge port (210).The adverse movement of nut (114) is drawn
Play pivot (115) and (115') moves towards each other along axis (1000).This configuration reduces
The drive mechanism (120) total length along axis (1000), thus reduce issuing unit (10)
Total length.
What Figure 26 a-c showed another exemplary embodiment has disposable unit (200) and can be again
By the issuing unit (10) of parts (100), wherein, screw rod (110b) can be included with parts (110) again
With the driving nut (125) being connected to screw rod (110b).Disposable unit (200) includes plunger (110)
With the L-shaped bar with connection end (115).L-shaped bar (110) includes one longer section, and it is vertical
In another shorter section.Screw rod (125) includes lateral recesses (1-25a), and it is configured to receive L
The connection end (115) of shape bar, as shown in Figure 26 a-b.Nut (125) is driven to include screw thread, its quilt
It is configured and adapted to and is arranged in the threaded engagement on bar (110b).Therefore, at screw rod (110b)
In rotary course (motor (118) and (116) by drive mechanism (120) cause), drive spiral shell
Female (125) translate along screw rod (110b).
In operation, nut (125) is driven to cause plunger along screw rod (110b) rectilinear translation
Head (110a) displacement simultaneously, therefore by the fluid in reservoir (220) towards discharge port (210)
Push, as shown in Figure 26 c.L-shaped bar allows more compactly to arrange each spatial component, and this can reduce sends out
Put the size of unit.
Figure 27 a-28b shows the disposable unit (200) of issuing unit (10) and can use portion again
Two embodiments of the sealing structure between part (100).In Figure 27 a-b illustrated embodiment,
Only realize sealing after parts (100) and disposable unit (200) can be used again to connect, and each
When parts are in " discrete " state, it is not limited in waterproof case.Embodiment party in Figure 28 a-b
In formula, each parts have the seal casinghousing of himself.
Figure 27 a is can to use parts (100) and disposable unit (200) section view before proceeding again
Figure.In this embodiment, disposable unit (200) includes at least one packing ring (205) (example
As, elastomeric O-rings), it is attached to the housing of disposable unit (200).At some embodiments
In, one or more packing ring (205) can be attached to can use parts (100) again, or can be attached to
Both parts.Once can be joined together with parts (100) and disposable unit (200) again,
Described parts are sealed by one or more packing ring (205), thus prevent internal part impaired and
Enter moisture, dirt or other undesirable granule, as shown in Figure 27 b.
Figure 28 a shows the parts of two " discrete " each other, and each parts are sealed in special shell respectively
In body.Disposable unit (200) comprises two sharp battery connection part (242) and (242'),
Their outside projections and include sharp end portion.Two self sealss partitions can be comprised again with parts (100)
And (142') (142), for sealed cell connecting portion, and pleated corrugated tube (117), it is used for receiving
Plunger rod (110b) and it is sealed.Figure 28 b shows two parts being connected to.Electricity
Pond connecting portion (242) and (242') puncture corresponding partition (142) and (142'), thus at electricity
Pond (240) (being placed in disposable unit (200)), PCB (130) and electronic component (dispose
Can use in parts (100) again) between set up electrical connection.Plunger rod (110b) is by corrugated tube (117)
Seal and cover and mobile plunger head (110a).
Figure 29 a-30b shows have disposable unit (200) and can use sending out of parts (100) again
Put the another exemplary embodiment of unit (10).
Figure 29 a shows reservoir (220), and it is configured to the form of semi-ring surface.Shown storage
The cross section of storage (220) can be shaped form oval, avette, many or any other is the most horizontal
Cross section.The shape of reservoir and cross section determine the configuration of other parts such as plunger, housing etc..
Figure 29 b-d shows the applicable cases of the reservoir (220) being shown in Figure 29 a.
Figure 29 b shows two parts, and each parts are configured to the form of half anchor ring.Disposable portion
Part (200) has semi-ring surface type reservoir (220), battery (240) and discharge port (210).
Drive mechanism (120) (such as, motor and gear) can be included again with parts (100), plunger (110),
PCB (130) and other relatively costly parts, such as, clogging sensor (not shown).Blocking passes
The illustrative embodiments of sensor be disclosed own together/14 days February in 2007 of CO-PENDING
The U.S. Patent application No.11/706 submitted to, 606, and the U.S. of December in 2007 submission on the 21st is special
Profit application No.11/963,481, the disclosure of above-mentioned application is incorporated by reference this Shen on the whole
Please.Drive mechanism (120) farther includes motor (118), worm screw (134), the second gear (135),
With circular gear (137).Circular gear (137) is pivotably connected to can use parts (100) again
Housing.Motor (118) rotary worm (134), worm screw rotates the most again the second gear (135).
Along with gear (135) rotates, its engaging tooth interacts with the tooth of circular gear (137), thus
Force gear (137) pivot section on parts (100) can used again to rotate around it.Due to post
Plug (110) is connected to gear (137), and the circus movement of gear (137) causes plunger (110) to exist
Reservoir moves in (220).Owing to gear (137) is circular, and reservoir (220) is also
Circular, therefore gear (137) is by the curve movement along reservoir (220), thus by fluid
Mobile, as shown in Figure 29 c-d towards discharge port (210).The repercussion campaign of gear (135) is permitted
Permitted the adverse movement of gear (137), along with plunger (110) along leaving reservoir (220)
The motion in direction.
Figure 30 a-b shows the another exemplary embodiment of issuing unit (10), the most disposably
Parts (200) including: reservoir (220), and it is configured to segment (such as, quadrant),
Plunger (110), it is constituted in the way of being similar to windshield wiper blade, battery (240), and outlet side
Mouth (210).Can include with parts (100) again: drive mechanism (120), electronic device (130),
Button (15), and other additional parts such as clogging sensor (not shown).Drive mechanism includes
Motor (118), worm screw (141), the first gear (143), and the second gear (145).Motor (118)
Rotary worm (141), this is by between worm screw (141) and the engaging tooth of the first gear (143)
Interact and cause the rotation of the first gear (143).First gear (143) in turn further through
Interaction between the tooth of each gear and cause the rotation of the second gear (145).Plunger (110)
It is connected to the second gear (145), and rotates along with the rotation of gear (145).Due to plunger (110)
It is configured to bar, pushing away towards discharge port (210) in therefore it will be arranged in reservoir (220)
Dynamic.Figure 30 b shows the issuing unit (10) being in operator scheme, wherein plunger (110) along
Direction (2000) is mobile, to be promoted towards discharge port (210) from reservoir (220) by fluid.
Although describing particular implementation here in detail, but they be only the most in an illustrative manner for
The purpose disclosed is given, and is not meant to that the respective range to limiting in claim is construed as limiting.
Particularly, inventor it is envisioned that in without departing from claim limit spirit and scope of the invention
On the premise of, various replacement can be made, replace, revise.Other side, advantage and amendment are recognized
For comprising within the scope of the claims.Proposed claim represent invention disclosed herein
Representative aspect.The invention of other failed call protection is it is further envisaged that out.Inventor retains by rear
The continuous claim proposed protects these rights invented.
The all patents quoted in the application and the disclosure of pending patent application are on the whole with the side of quoting
Formula is incorporated herein.
The method of the present invention and the illustrative embodiments of parts are here described.Institute as local in other
Pointing out, the description of these illustrative embodiments is merely for the explanatory purpose rather than restricted
's.Other embodiment is feasible and is covered by the present invention.Based on the technology enlightenment comprised here,
Technical staff in one or more correlative technology field is clearly understood that such embodiment.Cause
This, the coverage rate of the present invention and scope are not limited to any previously described illustrative embodiments,
But only limited by claim and equivalent thereof.
Claims (18)
1. for therapeutic fluids being delivered to an equipment in the patient, including:
Issuing unit, it has the reservoir that accommodate therapeutic fluids;
Puncturing box, it has for puncture component inserted into the patient and sleeve pipe;
RCU, for communicating with described issuing unit, and is used for sending instruction so that convection cell
Flowing is programmed, controls described issuing unit, data acquisition and data and show;
Wherein, described issuing unit can be attached directly patient body, or can be connected to paste
Invest the pin unit of skin and the pin unit of skin can be attached at described in departing from;
Described equipment farther includes standpipe connection, and wherein, described standpipe connection passes through tubular connector
Connecting with described reservoir fluid, and include opening, described puncture box and described sleeve pipe are through described
Opening.
Equipment the most according to claim 1, wherein, described issuing unit farther includes drive mechanism
And discharge port, described discharge port includes described standpipe connection;
Described drive mechanism causes the therapeutic fluids being contained in described reservoir towards described discharge port
Mobile;
Wherein, described discharge port is configured to be suitably connected to described pin unit and depart from described pin
Unit, thus fluid communication can be set up between reservoir and sleeve pipe through connecting tube chamber.
Equipment the most according to claim 2, wherein, described issuing unit farther includes:
Can use parts again, it includes at least some of, the electronic component of described drive mechanism, for controlling
Make at least one button of the operation of described issuing unit;
Disposable unit, it includes described reservoir;And
Power source means, it electrically connect at least one described electronic component, for using portion again described
Part and described disposable unit are powered when connecting.
Equipment the most according to claim 3, wherein, described issuing unit farther includes: air-tightness
Sealing member, between it is placed in disposable unit and can use again, to prevent dirt from entering.
5. according to the equipment any one of claim 2 to 4, wherein, described issuing unit is further
Including fluid delivery, standpipe connection is in fluid communication with fluid delivery;Fluid delivery is connected to
Adapter, connecting tube and open fluid communication;Once puncturing box to be removed from opening, fluid can be from fluid
Delivery tube flows through connecting tube, and enters opening and flow towards discharge port, in order to be delivered to
Patient.
Equipment the most according to claim 5, wherein, the connection between connecting tube and fluid delivery is
Being tightly connected, it stops fluid delivery to slip from adapter and any leakage of fluid or dirt enter
Enter opening.
7. according to the equipment any one of Claims 1-4, wherein, opening also includes being spaced body
Part, it seals up opening after eliminating puncture component, and interval body parts also can stop dirt to enter vertical tube
Interface and the leakage of fluid.
Equipment the most according to claim 7, wherein, interval body seals up in the body part puncturing box
Path, described path comprises described sleeve pipe;Once puncture component is removed by the path from body part,
Interval body seals up described path.
9. according to the equipment any one of Claims 1-4, wherein, described puncture component is sword body,
There is sharp distal tip and grasping part, and be adapted to puncture patient skin surface.
Equipment the most according to claim 3, wherein, described disposable unit farther includes plunger.
11. equipment according to claim 10, wherein, described plunger include being received within described can
Again with the plunger rod in parts and the stopper head being arranged in described disposable unit;
Described stopper head is arranged in the reservoir being placed in described disposable unit;
Described plunger rod is connected to described drive mechanism, and described disposable unit and described can be again
Be partially positioned in when being connected with parts described can again with in parts and be partially positioned in described disposably
In parts;
Described stopper head by the described therapeutic fluids in described reservoir towards described discharge port forward
Mobile.
12. according to the equipment any one of Claims 1-4, farther includes special purpose spring and loads
Inserter, wherein inserter is loaded puncture box, and sleeve pipe can be loaded by described special purpose spring
Inserter inserts in patient body.
13. equipment according to claim 12, wherein, described inserter has housing, and projection connects
In housing, and it is configured to the respective recesses be suitable to standpipe connection and coordinates;Insert perpendicular puncturing box
During interface tube, projection and depression stability needed for housing provides.
14. equipment according to claim 12, wherein, once puncture box and have been positioned in vertical tube and connect
In mouthful, and sleeve pipe has been deposited in the subcutaneous location below skin, and inserter is removed.
15. according to the equipment any one of Claims 1-4, and wherein, described reservoir has non-
Circular cross section.
16. equipment according to claim 15, wherein, described reservoir has selected from set below
Cross section: avette, oval, rectangle, many shaped forms.
17. equipment according to claim 3, wherein, by using parts and described again by described
Secondary property parts connect, and realize described fluid granting.
18. according to the equipment any one of Claims 1-4, and wherein, described RCU is selected from
Set below: personal computer, notebook computer, iPod, PDA, mobile phone, remote controller.
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
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US60/928,750 | 2007-05-11 | ||
US60/928,815 | 2007-05-11 | ||
US60/928,751 | 2007-05-11 |
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CN2008800155005A Division CN101687075B (en) | 2007-05-11 | 2008-05-11 | A positive displacement pump |
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CN103230632A CN103230632A (en) | 2013-08-07 |
CN103230632B true CN103230632B (en) | 2016-08-03 |
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CN2008800155005A Active CN101687075B (en) | 2007-05-11 | 2008-05-11 | A positive displacement pump |
CN201310136984.1A Active CN103230632B (en) | 2007-05-11 | 2008-05-11 | Displacement pump |
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Application Number | Title | Priority Date | Filing Date |
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CN2008800155005A Active CN101687075B (en) | 2007-05-11 | 2008-05-11 | A positive displacement pump |
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US (4) | US9138534B2 (en) |
EP (3) | EP2155295A2 (en) |
JP (1) | JP5536641B2 (en) |
CN (2) | CN101687075B (en) |
AU (1) | AU2008249567A1 (en) |
WO (3) | WO2008139458A2 (en) |
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2008
- 2008-05-11 US US12/451,435 patent/US9138534B2/en not_active Expired - Fee Related
- 2008-05-11 EP EP20080738344 patent/EP2155295A2/en not_active Withdrawn
- 2008-05-11 US US12/451,427 patent/US9173993B2/en not_active Expired - Fee Related
- 2008-05-11 WO PCT/IL2008/000641 patent/WO2008139458A2/en active Application Filing
- 2008-05-11 EP EP20080738342 patent/EP2155289A2/en not_active Withdrawn
- 2008-05-11 CN CN2008800155005A patent/CN101687075B/en active Active
- 2008-05-11 JP JP2010508027A patent/JP5536641B2/en active Active
- 2008-05-11 CN CN201310136984.1A patent/CN103230632B/en active Active
- 2008-05-11 US US12/451,430 patent/US20100137802A1/en not_active Abandoned
- 2008-05-11 AU AU2008249567A patent/AU2008249567A1/en not_active Abandoned
- 2008-05-11 EP EP18171458.5A patent/EP3388096A1/en active Pending
- 2008-05-11 WO PCT/IL2008/000642 patent/WO2008139459A1/en active Application Filing
- 2008-05-11 WO PCT/IL2008/000643 patent/WO2008139460A2/en active Application Filing
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EP2155289A2 (en) | 2010-02-24 |
US20150352276A1 (en) | 2015-12-10 |
US20100137802A1 (en) | 2010-06-03 |
EP2155295A2 (en) | 2010-02-24 |
US20100130932A1 (en) | 2010-05-27 |
JP5536641B2 (en) | 2014-07-02 |
CN101687075A (en) | 2010-03-31 |
CN103230632A (en) | 2013-08-07 |
US20100130931A1 (en) | 2010-05-27 |
US9138534B2 (en) | 2015-09-22 |
AU2008249567A1 (en) | 2008-11-20 |
US10398831B2 (en) | 2019-09-03 |
WO2008139458A3 (en) | 2009-03-05 |
CN101687075B (en) | 2013-04-10 |
US9173993B2 (en) | 2015-11-03 |
WO2008139460A3 (en) | 2009-03-12 |
JP2010526633A (en) | 2010-08-05 |
WO2008139460A2 (en) | 2008-11-20 |
WO2008139459A1 (en) | 2008-11-20 |
WO2008139458A2 (en) | 2008-11-20 |
EP3388096A1 (en) | 2018-10-17 |
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